Parental Perspectives of Barriers to Physical Activity in Urban Schoolchildren With Asthma

Amy Kornblit, Agnieszka Cain, Laurie J. Bauman, Nicole M. Brown, Marina Reznik

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Objective: Physical activity (PA) levels are low in today's youth and may even be lower in those with asthma. Barriers to PA have not been well studied in inner-city minority children with asthma. We conducted a qualitative study to characterize parental perceptions of barriers to PA and ways to improve PA levels in children with asthma. Methods: We used the socioecologic model to inform development of our interview guide. Questions fell into 2 socioecologic model domains: interpersonal (parent, family) barriers and community (neighborhood, school) barriers. Qualitative semistructured interviews were conducted with 23 parents (21 mothers, 2 fathers) of inner-city children with asthma (aged 8-10 years) from 10 Bronx, New York, elementary schools. Sampling continued until thematic saturation was reached. Interviews were recorded, transcribed, and independently coded for common themes. Emerging themes were discussed and agreed on by investigators. Results: Three themes surrounding interpersonal barriers to PA emerged: 1) parental fear of exercise-induced asthma due to lack of child symptom awareness, 2) nonadherence and refusal to take medications, and 3) challenges with asthma management. Four themes around community barriers to PA emerged: 1) lack of trust in school management of asthma, 2) lack of school PA facilities, 3) unsafe neighborhoods, and 4) financial burden of PA. Conclusions: A complex, multilevel set of barriers to PA exist in children with asthma. Addressing these barriers by involving stakeholders at the family, school, and community levels may improve PA levels in children with asthma.

Original languageEnglish (US)
JournalAcademic Pediatrics
DOIs
StateAccepted/In press - Jan 1 2018

Fingerprint

Asthma
Exercise
Interviews
Exercise-Induced Asthma
Fathers
Fear
Parents
Mothers
Research Personnel

Keywords

  • Barriers
  • Exercise
  • Pediatric asthma
  • Qualitative study
  • Urban

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Cite this

Parental Perspectives of Barriers to Physical Activity in Urban Schoolchildren With Asthma. / Kornblit, Amy; Cain, Agnieszka; Bauman, Laurie J.; Brown, Nicole M.; Reznik, Marina.

In: Academic Pediatrics, 01.01.2018.

Research output: Contribution to journalArticle

@article{5cada63fcd584a41984bc123d41f802b,
title = "Parental Perspectives of Barriers to Physical Activity in Urban Schoolchildren With Asthma",
abstract = "Objective: Physical activity (PA) levels are low in today's youth and may even be lower in those with asthma. Barriers to PA have not been well studied in inner-city minority children with asthma. We conducted a qualitative study to characterize parental perceptions of barriers to PA and ways to improve PA levels in children with asthma. Methods: We used the socioecologic model to inform development of our interview guide. Questions fell into 2 socioecologic model domains: interpersonal (parent, family) barriers and community (neighborhood, school) barriers. Qualitative semistructured interviews were conducted with 23 parents (21 mothers, 2 fathers) of inner-city children with asthma (aged 8-10 years) from 10 Bronx, New York, elementary schools. Sampling continued until thematic saturation was reached. Interviews were recorded, transcribed, and independently coded for common themes. Emerging themes were discussed and agreed on by investigators. Results: Three themes surrounding interpersonal barriers to PA emerged: 1) parental fear of exercise-induced asthma due to lack of child symptom awareness, 2) nonadherence and refusal to take medications, and 3) challenges with asthma management. Four themes around community barriers to PA emerged: 1) lack of trust in school management of asthma, 2) lack of school PA facilities, 3) unsafe neighborhoods, and 4) financial burden of PA. Conclusions: A complex, multilevel set of barriers to PA exist in children with asthma. Addressing these barriers by involving stakeholders at the family, school, and community levels may improve PA levels in children with asthma.",
keywords = "Barriers, Exercise, Pediatric asthma, Qualitative study, Urban",
author = "Amy Kornblit and Agnieszka Cain and Bauman, {Laurie J.} and Brown, {Nicole M.} and Marina Reznik",
year = "2018",
month = "1",
day = "1",
doi = "10.1016/j.acap.2017.12.011",
language = "English (US)",
journal = "Academic Pediatrics",
issn = "1876-2859",
publisher = "Elsevier Inc.",

}

TY - JOUR

T1 - Parental Perspectives of Barriers to Physical Activity in Urban Schoolchildren With Asthma

AU - Kornblit, Amy

AU - Cain, Agnieszka

AU - Bauman, Laurie J.

AU - Brown, Nicole M.

AU - Reznik, Marina

PY - 2018/1/1

Y1 - 2018/1/1

N2 - Objective: Physical activity (PA) levels are low in today's youth and may even be lower in those with asthma. Barriers to PA have not been well studied in inner-city minority children with asthma. We conducted a qualitative study to characterize parental perceptions of barriers to PA and ways to improve PA levels in children with asthma. Methods: We used the socioecologic model to inform development of our interview guide. Questions fell into 2 socioecologic model domains: interpersonal (parent, family) barriers and community (neighborhood, school) barriers. Qualitative semistructured interviews were conducted with 23 parents (21 mothers, 2 fathers) of inner-city children with asthma (aged 8-10 years) from 10 Bronx, New York, elementary schools. Sampling continued until thematic saturation was reached. Interviews were recorded, transcribed, and independently coded for common themes. Emerging themes were discussed and agreed on by investigators. Results: Three themes surrounding interpersonal barriers to PA emerged: 1) parental fear of exercise-induced asthma due to lack of child symptom awareness, 2) nonadherence and refusal to take medications, and 3) challenges with asthma management. Four themes around community barriers to PA emerged: 1) lack of trust in school management of asthma, 2) lack of school PA facilities, 3) unsafe neighborhoods, and 4) financial burden of PA. Conclusions: A complex, multilevel set of barriers to PA exist in children with asthma. Addressing these barriers by involving stakeholders at the family, school, and community levels may improve PA levels in children with asthma.

AB - Objective: Physical activity (PA) levels are low in today's youth and may even be lower in those with asthma. Barriers to PA have not been well studied in inner-city minority children with asthma. We conducted a qualitative study to characterize parental perceptions of barriers to PA and ways to improve PA levels in children with asthma. Methods: We used the socioecologic model to inform development of our interview guide. Questions fell into 2 socioecologic model domains: interpersonal (parent, family) barriers and community (neighborhood, school) barriers. Qualitative semistructured interviews were conducted with 23 parents (21 mothers, 2 fathers) of inner-city children with asthma (aged 8-10 years) from 10 Bronx, New York, elementary schools. Sampling continued until thematic saturation was reached. Interviews were recorded, transcribed, and independently coded for common themes. Emerging themes were discussed and agreed on by investigators. Results: Three themes surrounding interpersonal barriers to PA emerged: 1) parental fear of exercise-induced asthma due to lack of child symptom awareness, 2) nonadherence and refusal to take medications, and 3) challenges with asthma management. Four themes around community barriers to PA emerged: 1) lack of trust in school management of asthma, 2) lack of school PA facilities, 3) unsafe neighborhoods, and 4) financial burden of PA. Conclusions: A complex, multilevel set of barriers to PA exist in children with asthma. Addressing these barriers by involving stakeholders at the family, school, and community levels may improve PA levels in children with asthma.

KW - Barriers

KW - Exercise

KW - Pediatric asthma

KW - Qualitative study

KW - Urban

UR - http://www.scopus.com/inward/record.url?scp=85042361396&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85042361396&partnerID=8YFLogxK

U2 - 10.1016/j.acap.2017.12.011

DO - 10.1016/j.acap.2017.12.011

M3 - Article

C2 - 29309846

AN - SCOPUS:85042361396

JO - Academic Pediatrics

JF - Academic Pediatrics

SN - 1876-2859

ER -